Objective. To present successful surgical treatment of a patient with high-energy fracture of long bones of the right upper limb complicated by compartment syndrome and contact burn of the right half of the chest who underwent amputation at the level of the middle third of the right shoulder.

Material and methods. A 37-year-old patient received an industrial injury. His right upper limb was pulled into a rotating mechanism. The patient admitted with a diagnosis of combined injury of the right upper limb, open fracture of the middle and lower thirds of the right humerus with displacement Gustillo-Anderson grade IIIC, closed fracture of the lower third of the right radius with displacement, closed fracture of the 4th-5th metacarpal bones of the right hand without displacement, compartment syndrome, irreversible ischemia of the right upper limb below the middle third of the right shoulder, contact burn of the right half of the chest 3%. Surgeons were faced with the objective of not only choosing the correct surgical strategy, but also rational level of shoulder amputation for further replacement and rehabilitation.

Results. Amputation of the right upper limb at the level of the middle third of the right shoulder using Versajet hydrosurgical system, VAC drainage and delayed autodermoplasty ensured favorable wound healing, reduced the number of dressings, severity of pain syndrome and hospital-stay, as well as improved functional results.

Conclusion. Staged treatment and control of wound surface for early detection of possible postoperative complications are essential for favorable postoperative results.

Keywords. amputation, surgical necrectomy, autodermoplasty, physical methods of tissue dissection, Versajet system, high-energy fractures, extensive necrotizing soft tissue defects, VAC drainage